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Spinal cord stimulation for severely ischemic limbs.

C T Sampère¹, J A Guasch, C M Paladino

¹Department of Vascular Surgery, Cardiovascular School Cosme Argerich Hospital, Buenos Aires, Argentina.

Pacing and Clinical Electrophysiology : PACE

|February 1, 1989

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Spinal cord stimulation (SCS) offers a promising treatment for severe lower limb atherosclerosis when surgery fails, benefiting over 70% of patients by improving blood flow. Further research is needed to confirm its role in managing this condition.

Area of Science:

Vascular Surgery
Neuromodulation
Peripheral Artery Disease

Background:

Severe lower limb atherosclerosis leads to debilitating symptoms like rest pain, ulceration, and gangrene.
Standard surgical treatments may fail or be unsuitable for some patients with advanced disease.

Purpose of the Study:

To evaluate the efficacy of spinal cord stimulation (SCS) as an alternative treatment for severe lower limb atherosclerosis.
To assess the impact of SCS on cutaneous blood flow in patients with critical limb ischemia.

Main Methods:

Retrospective analysis of 19 patients treated with SCS since April 1985.
Assessment of clinical outcomes and changes in cutaneous blood flow post-SCS implantation.

Main Results:

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Spinal cord stimulation provided beneficial outcomes in 70.6% of the treated patients.
Evidence suggests SCS can increase cutaneous blood flow, potentially aiding in limb salvage.

Conclusions:

Spinal cord stimulation is a viable option for patients with severe lower limb atherosclerosis unresponsive to conventional treatments.
Further randomized controlled trials are necessary to establish SCS as a standard therapy for atherosclerotic disease.